How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $467.74 | Professional | None | $316.23 | $338.84 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $707.95 | Professional | None | $371.54 | $501.19 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,513.56 Typical High $2,137.96 | Facility | None | $478.63 | $1,513.56 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $588.84 | Professional | None | $323.59 | $407.38 | $588.84 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $851.14 | Facility | None | $331.13 | $398.11 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $741.31 | Professional | None | $371.54 | $467.74 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $1,862.09 | Facility | None | $338.84 | $676.08 | $1,862.09 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $630.96 | Professional | None | $281.84 | $338.84 | $630.96 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $660.69 | Professional | None | $323.59 | $407.38 | $660.69 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $239.88 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $218.78 | $239.88 | $275.42 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $158.49 Median $204.17 Typical High $363.08 | Professional | 62 · Two surgeons | $158.49 | $204.17 | $363.08 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $50.12 Typical High $93.33 | Professional | 80 · Assistant surgeon | $39.81 | $50.12 | $93.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $44.67 Typical High $81.28 | Professional | AS · PA/NP assist | $34.67 | $44.67 | $81.28 |
Where Colorado sits
The same service costs 5.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 18th of 51
$479
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.